Every finding on record at Mdh Home Health Care

The Emergency Preparedness requirements were evaluated, in conjunction with the recertification survey, on 08/04/2023. The Agency was in compliance with the Condition, 42 CFR 484.22, Establishment of the Emergency Program for this survey.

A recertification survey was conducted in conjunction with the evaluation of Emergency Preparedness requirements on 8/4/2023. The Agency was not in compliance with Standards for Home Health Agencies, 42 CFR 484, as evidenced by: Abbreviations: Pt- Patient E- employee PICC- Peripherally inserted central catheter

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on document review and staff interview, it was determined in 2 of 2 (Pt #2, Pt #8) clinical records reviewed of patients with PICC (Peripherally Inserted Central Line) the Home Health Agency failed to ensure PICC line care was provided as per policy. Findings include: 1. On 8/3/2023 the policy titled "Management of Intravenous Devices" (effective 6/5/2023) was reviewed. The policy required, the exposed catheter was to be measured at each dressing change. 2. Pt #2 SOC: 5/19/2023 Diagnosis: Chronic Osteomyelitis left tibia and fibula. Pt #2's clinical record was reviewed on 8/3/2023. Pt #2 Plan of Care required the skilled nurse was to change the PICC line dressing every Monday. On Skilled Nursing Visit 7/24/2023 and 7/31/2023, the clinical record lacked documentation the exposed catheter was measured at the dressing change as required by Home Health policy. 3. Pt #8 SOC: 12/15/2022 Diagnosis: Encounter for surgical after following surgery on the circulator system, aortocoronary bypass graff. Pt #8's Plan of Care required the skilled nurse was to change the central venous access (PICC) dressing weekly...". On Skilled Nursing Visit 3/6/2023 and 3/13/2023, the clinical record lacked documentation the exposed catheter was measured at the dressing change as required by Home Health policy. 4. On 8/4/2023 at approximately 4:00 PM an interview was conducted with the Quality Compliance Registered Nurse (E #2). E #2 reviewed Pt #2 and Pt #8's record and agreed the PICC line was not measured on these visits and should have been.